CMS Price Transparency Data

Pneumonia vaccine injection

Facility: Trinity Health Muskegon Hospital

Billing Code: G0009 (HCPCS)

The BaseRate · fair price high confidence
A fair price for this
$34
about 0.7× the $48 Medicare rate · typically $16–$42
modeled estimate · not a bill or quote
What this hospital charges insurers
$32
About the fair price
about $2 under the fair price · 0.7× Medicare
Medicare pays $48 Fair price $34 This hospital $32 Cash price $36 Hospital's list price $60

How we calculate the fair BaseRate →

How this hospital compares to other MI hospitals

Highest price of the 9 MI hospitals we have prices for — worth calling around.

Cheapest $22 Priciest $32

Black dot = this hospital, among the 9 MI hospitals with a price for this procedure. Full list below.

A fair price for a Pneumonia vaccine injection is about $34 (about 0.7× the $48 Medicare rate). Trinity Health Muskegon Hospital charges insurers about $32, or about $36 in cash — about the fair price. Located in Muskegon, MI.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

6 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana✓ Kaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
UnitedHealthcaremajor $20 - $51 42%
Blue Cross Blue Shieldmajor $16 - $77 33%
Aetnamajor $10 - $49 21%
Cignamajor $14 - $40 29%
Humanamajor $18 - $45 38%
Kaiser Permanentemajor $77 161%
Ambetter (Centene) $23 48%
AmeriHealth $18 - $45 38%
CareSource $14 - $35 29%
Clover Health $32 67%
Dean Health Plan $17 - $41 36%
GEHA $16 - $48 33%
Health Net $23 48%
HealthPartners $23 - $25 48%
MagnaCare $37 - $45 77%
Medical Mutual $18 - $45 38%
Meridian $23 - $32 48%
Molina $23 - $65 48%
MVP Health Care $17 - $41 36%
Oscar Health $43 - $64 90%
Paramount $17 - $41 36%
Presbyterian $23 - $32 48%
Priority Health $42 - $47 88%
Tufts Health Plan $23 - $25 48%
UniCare $18 - $45 38%
WellMed $32 67%
WellSense $23 48%
+ 321 smaller / regional plans $12 - $78
Government programs also on file: Medicare, Medicaid, Military & VA.
Excludes 11 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 1500 E Sherman Blvd, Muskegon, MI 49441
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals